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Step
1
of
8
12%
Personal Information
Reason for Application
*
Purchase
Refinance
Switch/Transfer
Name
*
First
Last
Phone
*
Email
*
Date of Birth
*
MM slash DD slash YYYY
SIN
Address
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Residential Status
*
Renting
Owned
Other
Time at Residence
*
Years
Months
Months
Preferred Contact Method
Phone
Email
Marital Status
Single
Married
Common Law
Separated
Divorced
Widowed
Other
Language Preference
English
French
When do you need the money?
30 Days
60 Days
90 Days
120 Days
120+ Days
Applicant Previous Address
Address
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Residential Status
*
Renting
Owned
Other
Time at Residence
*
Years
Months
Months
Co-Applicant
Will this mortgage have a Co-Applicant?
*
Yes
No
To add a Co-Applicant, please fill in all fields marked with an asterisk (*)
Co-Applicant Name
*
First
Last
Co-Applicant Phone
*
Co-Applicant Email
*
Co-Applicant Date of Birth
*
MM slash DD slash YYYY
Co-Applicant SIN
Co-Applicant Address
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Co-Applicant Residential Status
*
Renting
Owned
Other
Co-Applicant Time at Residence
*
Years
Months
Months
Co-Applicant Preferred Contact Method
Phone
Email
Co-Applicant Marital Status
Single
Married
Common Law
Separated
Divorced
Widowed
Other
Employment Information
Self Employed
No
Yes
Job Title
*
Employment Status
Current
Previous
Occupation Type
Management
Clerical
Labour/Tradesperson
Retired
Professional
Self-Employed
Other
Name of Employer
*
Work Phone
Income Type
Salary
Hourly
Hourly + Commissions
Commissions
Self-Employed
Rental Income
Other Employment Income
Annual Income
Industry Sector
Banking/Finance
Construction
Education
Farming/Natural Resources
Government
Health
High-Tech
Leisure/Entertainment
Manufacturing
Other
Retail/Sales
Services
Transportation
Time at Job
*
Years
Months
Months
Property Information
Address
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Construction Type
Existing
New
Constructing
Structure Age
Occupancy Type
Owner-Occupied
Owner-Occupied & Rental
Rental
Second Home
Tenure Type
Freehold
Leasehold
Condo/Strata
Native Reserve
Other
Heat Type
Electric Baseboard
Forced Air
Hot Water Heating
Other
Estimated Value
Mortgage Information
Closing Date
MM slash DD slash YYYY
Amortization Period
*
Years
Months
Months
Payment Frequency
Monthly
Semi Monthly
Biweekly
Accelerated Biweekly
Weekly
Accelerated Weekly
Don't Know
Term
1
2
3
4
5
7
10
Mortgage Amount
Product Type
Fixed
Adjustable
Capped Variable
Variable
Buydown
Don't know
Down Payment
First Time Buyer
No
Yes
Purpose
Purchase
Purchase + Improvements
Refinance
ETO
Switch / Transfer
Port
Deficiency Sale
Workout
Assets
Vehicles
Cash
Real Estates
RRSP
Stocks
Other
Liabilities
Credit
Loans
Mortgage
Other
Privacy Policy
Fran Robinson Mortgage Financial Corporation is committed to respecting the privacy of individuals and recognizes a need for the appropriate management and protection of any personal information that you agree to provide to us. We will not share your information with any third party outside of our organization, other than as necessary to fulfill your request.
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